Individual
DR. VENUGOPAL AMULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 N MARIO CAPECCHI DR, SLC, UT 84113-1103
(806) 622-2550
Mailing address
100 N MARIO CAPECCHI DR, SLC, UT 84113-1103
(801) 662-2550
(801) 662-2470
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301089982
MI
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
7391530-1205
UT
Other
Enumeration date
07/19/2007
Last updated
06/05/2023
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